Concentration of toxic metals and potential risk assessment in edible fishes from Congo River in urbanized area of Kinshasa,DR Congo

Abstract

The objective of this research is to determine the concentration and potential health risks of toxic metals in six most consumed freshwater fish species (Auchenoglanis occidentalis, Bagrus ubangensis, Citharinus gibbosus, Distichondus fasciolatus, Marcusenius moorii, and Schilbe mystus). A total of 126 samples of these fish species were collected from seven sites of Congo River in the vicinity of Kinshasa City, Democratic Republic of the Congo. Toxic metals (Cr, Co, Ni, Zn, Se, Ag, Cd, Sn, Sb, and Pb) levels in fish muscle tissues were determined using Inductively Coupled Plasma Mass Spectrometry whereas Hg analysis was carried out using atomic absorption spectrophotometry. The maximum metal concentration (mg kg^?1 wet weight) of Zn (59.72), Sb (5.98), and Pb (4.96) was detected in muscle tissues of M. moorii, C. gibbosus, and D. fasciolatus, respectively. Pb, Zn, and Hg values in many fish samples exceeded the permissible levels set by Food and Agriculture Organization and World Health Organization for human consumption. Given the concentrations of Pb in all fish species and Zn in M. moorii, human health implications are likely to occur on continuous consumption. Addition, the evaluation of potential health risks for fish consumers indicates that there may or not be adverse effects.     

Omega-3 Fatty Acids in Fish from the Laurentian Great Lakes Tribal Fisheries

Dietary fish must be assessed for benefits and risks to formulate risk management strategies. This article demonstrates that Laurentian Great Lakes (GL) freshwater species are good sources of omega-3 fatty acids using new data from a small sample (n = 7) of Lake Superior siscowet lake trout (Salvelinus namaycush siscowet) and five other GL fish species’ data. For Lake Superior (LS) siscowets, the saturates, mono-unsaturates, and poly-unsaturates composed 20.1, 40.7, and 39.1% of total lipid weight, respectively. Omega-3 poly-unsaturates (PUFAs) in these fish were more than twice the omega-6 (omega 3/6 ratio = 2.4). The LS lake trout data were combined with earlier LS data collected during the 1980s for eight other species and from five species of Lake Erie fish. All the GL freshwater species were compared with seven other published marine and freshwater fish studies from other global regions. PUFAs were compared based on latitude and marine versus freshwater origin. Differences between marine and freshwater species in omega-3 fatty acid were less at higher latitudes. GL freshwater fish species can be a good source of beneficial fats like marine fish and must be accounted in effective risk communications involving persistent bioaccumulative toxicants in dietary fish.     

Overview of Fish Consumption Rates in the United States

Contaminants that accumulate in fish may pose health risks and have raised concerns among consumers. Contaminated finfish and shellfish are possible routes of human exposure to toxic chemicals. Fish advisories are established to protect local populations from the consumption of contaminated commercial and non-commercially caught fish. Children, women of childbearing age, and subsistence fishermen or other highly exposed individuals who for socioeconomic or cultural reasons consume more fish than the general population are among the populations of concern from the ingestion of contaminated fish. Estimating exposure to a toxic chemical among fish-consuming populations requires knowledge about intake rates of fish and shellfish. Data on fish consumption rates come from various sources, including national, state, and local government studies. Although these data have their limitations, they serve as a source for deriving fish consumption rates that may be used by exposure assessors. Data on specific populations of concern are critical. Studies presented here show that ethnicity, age, and geographical region play an important role in fishing behavior and consumption. Results from studies on Native American populations show that this ethnic group eats fish at a higher rate than recreational anglers. This article summarizes data on fish consumption for various populations and provides a framework for evaluating data from these studies for exposure assessment applications.     

Mercury Levels in Barbadian Fisher Folk and Commonly Caught Fish Species

Ocean fish are an important staple food for many Caribbean persons. Some species, however, have high Hg concentration levels and represent a significant source of Hg exposure. This study assessed Hg concentrations in fish species commonly caught and consumed in Barbados as well as Hg exposure of those who work in the fishing industry. Total Hg concentrations were measured in 100 fish samples. Human Hg concentrations were determined from hair snippets taken from 46 fisher folk and fish consumption habits evaluated using interview-administered questionnaires. Mercury levels varied by fish species with predatory fish species having the highest concentrations. Low Hg concentrations were found in dolphinfish (Coryphaena hippurus) and flyingfish (Hirundichthys affinis). Reported fish consumption rates were high and varied significantly between men and women, 2675 ± 1600 and 1275 ± 600 (g/week), respectively (p = 0.01). The median hair Hg concentration was 3.1 ± 2.3 μg/g (range: 0.01–15.6 μg/g) and significantly associated with consumption of “high-risk” fish species (p = .02). These results show that it is possible to make informed choices concerning fish consumption habits in order to maximize benefits while minimizing the effect of Hg exposures, especially for sensitive groups such as pregnant women and infants.     

Risk of Ill-Informed Decision-Making When Choosing Your Favorite Fish

Risk to children of women who choose a favorite fish without regard to its methylmercury or omega-3 content was estimated under three consumption scenarios: (1) current fish consumption rate by U.S. women if limited to orange roughy (Hoplostethus atlanticus), (2) 12 oz of roughy per week, and (3) roughy consumption to meet docosahexaenoic acid (DHA) requirements. Risks were similarly assessed if king mackerel (Scomberomorus cavalla) were eaten. Based on mercury concentrations in fillets purchased from 2004–2007 (0.73 ± 0.29 mg Hg/kg; n = 45), women would have an 85% probability of exceeding USEPA's reference dose (RfD) if they ate only roughy. Based on literature-derived concentrations, they would have a 91% probability of exceeding the RfD if they ate only mackerel. Increasing consumption of either fish to 12 oz per week would increase their probability of exceeding the RfD to 100%. Attempting to meet DHA requirements through eating these fish also results in a 100% probability of exceeding the RfD; however, owing to its very low DHA content, roughy consumption would result in exceedance by 100-fold. These results highlight recommendations of others that benefits and risks of fish consumption should be presented together to enable consumers to make informed decisions.     

Updated Risk/Benefit Analysis of Fish Consumption Effects on Neurodevelopment: Implications for Setting Advisories

Epidemiological studies indicate that fish consumption during pregnancy leads to improved neurodevelopment. This suggests that the beneficial nutrients in fish may offset the adverse effects of mercury in the case of the average fish meal. However, our previous risk/benefit model predicted a net neurodevelopmental risk for the majority of species analyzed. In this article the previous model is calibrated against fish benefit data and then compared to other fish risk/benefit models, including recent models from the World Health Organization and USFDA. Our calibrated model estimated greater benefit for low mercury species but greater risk for high mercury species than the other models. With respect to a commonly eaten high mercury fish, swordfish, the calibrated model yielded risks that are supportive of current fish advisories but, in contrast, the other models predicted net neurodevelopmental benefits. The calibrated model was used in a proposed 3 step framework for setting fish consumption advisories: (1) Set initial consumption level based upon mercury RfD; (2) Adjust consumption upward if risk/benefit model indicates a net benefit; (3) Cap fish consumption based upon saturation of O-3 benefit. The implications of this approach for 7 varieties of fish are used to illustrate the framework.     

Population-Based Fish Consumption Survey and Probabilistic Methylmercury Risk Assessment

A fish consumption survey was developed and administered by telephone to 820 Wyoming fishing license holders. Survey respondents provided the frequency, species, and quantity of Wyoming-caught and store-bought fish consumed for license holder and household members. Deterministic and probabilistic methylmercury exposure distributions were estimated by multiplying fish consumption by species-specific mercury concentrations for each household member. Risk assessments were conducted for children, women of childbearing age, and the rest of the population by comparing methylmercury exposure distributions to levels of concern. The results indicate that probabilistic risk assessment likely provides a more realistic view of the risk to the study population. The results of this study clearly indicate that: (1) there is no level of fish consumption that is without risk of methylmercury exposure, (2) fish advisories may be warranted for children and women of childbearing age, and (3) that store-bought fish generally contribute more to methylmercury exposure than do Wyoming-caught fish.     

A Preliminary Human Health Risk Assessment of Organochlorine Pesticide Residues Associated with Aquatic Organisms from the Rangsit Agricultural Area,Central Thailand

Food consumption is one of the main routes of human exposure to organochlorine pesticide residues (OCPRs). To assess the potential health risks associated with OCPRs contaminants due to freshwater organism consumption, a number of vegetables, prawn, snail, and fish were collected from Khlong 7 (canal), Rangsit agricultural area, Pathum-Thani Province, Thailand. The samples were extracted using a multiresidue extraction method and then analyzed by gas chromatography with microelectron capture detector (μ -ECD). The results show that low concentrations of OCPRs were detected in parts per billion (ppb) levels. Based on a plausible worst-case scenario, the local population could be at risk for cancer due to consumption of fish contaminated by α -, β -HCH, heptachlor, heptachlor epoxide, aldrin, dieldrin, DDD, DDE, and DDT. Likewise, individuals may be at risk from consumption of Lanchester's freshwater prawn Macrobrachium lanchesteri, freshwater snail Filopaludina mertensi, swamp morning-glory Ipomomea aquatica, neptunia Neptunia oleracea, and water lily Nymphaea lotus because these species all contained elevated concentrations of α -, β -HCH, heptachlor, heptachlor epoxide, aldrin, and dieldrin.     

Stakeholder Participation in Research Design and Decisions: Scientists, Fishers, and Mercury in Saltwater Fish

Individuals who fish and eat self-caught fish make decisions about where to fish, the type to eat, and the quantity to eat. Federal and state agencies often issue consumption advisories for some fish with high mercury (Hg) concentrations, but seldom provide either the actual metal levels to the general public, or identify the fish that have low contaminant levels. Community participatory research is of growing importance in defining, studying, and resolving complex exposure and risk issues, and this paper is at the intersection of traditional stakeholder approaches and community-based participatory research. The objective of this paper is to describe the process whereby stakeholders (fishers), were involved in directing and refining research questions to address their particular informational needs about mercury levels in fish, potential risks, and methods to maintain health, by balancing the risks and benefits of fish consumption. A range of stakeholders, mainly individual fishers, fishing organizations, and other scientists, were involved at nearly every stage. Community participants influenced many aspects of the design and implementation of the research, in the determination of which fish species to sample, in the collection of the samples, and in the final analyses and synthesis, as well as the communication of results and implications of the research through their fishing club publications, talks and gatherings. By involving the most interested and affected communities, the data and conclusions are relevant to their needs because the fish examined were those they ate and wanted information about, and directly address concerns about the risk from consuming self-caught fish. Although mercury levels in fish presumed to be high in mercury are known, little information was available to the fishermen on mercury levels in fish that were low and thus provided little risk to their families. While community participatory research is more time-consuming and expensive than traditional scientific research, both the process and results are better scientifically in terms of community relevance.     

Trace Metal Levels in Rainbow Trout (Oncorhynchus mykiss) Cultured in Net Cages in a Reservoir and Evaluation of Human Health Risks from Consumption

Although fish consumption has positive health effects, metals accumulated in fish can cause human health risks. In this study, the levels of ten metals in rainbow trout (Oncorhynchus mykiss) farmed in the Keban Dam Reservoir, which has the biggest rainbow trout production capacity in Turkey, were determined and compared with the maximum permissible levels (MPLs). Also, human health risks associated with rainbow trout consumption were assessed. The metal concentrations in rainbow trout were found below the MPLs. The estimated daily intake of each metal was much lower than the respective tolerable daily intake. The target hazard quotient (THQ) for individual metal and total THQ for combined metals did not exceed 1, indicating no health risk for consumers. The cancer risk (CR) value for inorganic arsenic was within the acceptable lifetime risk range of 10⁻⁶ and 10⁻⁴. For carcinogenic and non-carcinogenic effects, the maximum allowable fish consumption rates were high enough to ensure the human health. According to these results, the consumption of rainbow trout farmed in the Keban Dam Reservoir does not pose a risk on human health.

     

Selenium:mercury molar ratios in freshwater fish from Tennessee: individual, species, and geographical variations have implications for management

Vertebrates, including humans, can experience adverse effects from mercury consumed in fish. Humans often prefer large predatory fish that bioaccumulate high mercury levels. Recent attention has focused on the role of selenium countering mercury toxicity, but there is little research on the selenium:mercury molar ratios in freshwater fish. We examine selenium:mercury molar ratios in freshwater fish from Tennessee at Poplar Creek which receives ongoing inputs of mercury from the Department of Energy's Oak Ridge Y-12 facility. Our objective was to determine variation of the ratios within species that might affect the protectiveness of selenium against mercury toxicity. Within species, the ratio was correlated significantly and positively with fish length only for two species. There was great individual variation in the selenium:mercury molar ratio within each species, except striped bass. The lack of a clear relationship between the selenium:mercury molar ratio and fish length, and the intraspecific variation, suggests that it would be difficult to use the molar ratio in predicting either the risk from mercury toxicity or in devising consumption advisories.     

Evaluation of a Public Health Intervention to Lower Mercury Exposure from Fish Consumption in Bermuda

Objectives

To assess the efficacy of a public health intervention to reduce blood mercury (Hg) concentration levels in pregnant Bermudian women.

Methods

In 2003, we conducted a study entitled “Prenatal exposure of the Bermudian Population to Environmental Contaminants” which provided Bermuda’s first baseline data on prenatal exposure to several environmental contaminants, including Hg. The mean Hg concentration from 42 healthy newborns measured in umbilical cord blood was 41.3 nmol/L, ranging from 5–160 nmol/L. This concentration was much higher than expected, being approximately 8 times the general levels found in Canada and the U.S. Furthermore, we estimated that 85% of total Hg measured was in the form of methylmercury (MeHg), indicating that seafood consumption was the primary source of Hg exposure during pregnancy in Bermuda. Locally sourced seafood was identified as the most significant possible contributory source of Hg exposure. In 2005 the authors began a complementary research programme to study the levels of Hg in local commercial fish species. Coming out of this research were specific local fish consumption guidelines issued by the Department of Health advising pregnant women to avoid those local fish species found to be high in Hg while still encouraging consumption of fish species having lower Hg levels.

Results

In 2010, under another research initiative, we returned to Bermuda to carry out another evaluation of Hg in human blood. Hg was measured in the blood of 49 pregnant women. The arithmetic mean Hg blood concentration was 6.6 nmol/L and the geometric mean 4.2 nmol/L. The maximum concentration found was 24 nmol/L.

Conclusions

Hg exposure of Bermudian pregnant women has dropped significantly by a factor of around 5 since the foetal cord blood study in 2003.     

Fish contamination in Lake Erie: An examination of temporal trends of organochlorine contaminants and a Bayesian approach to consumption advisories

When examining environmental levels of organic contaminants, much of our focus has been placed on fish due to their greater potential to bioaccumulate and their direct linkage with human as a staple of their diet. Contaminant levels in Great Lakes fish communities have been closely monitored over the last few decades, and the resulting information has been indispensable in guiding consumption advisories. In this study, we first conducted an analysis of temporal trends of three organochlorines (hexachlorobenzene, octachlorostyrene, and α-hexachlorocyclohexane) in five Lake Erie fish species using dynamic linear modeling, while explicitly considering fish length and lipid content as covariates. Our results indicate that the levels of the three compounds have been steadily decreasing during the late 1970s to 2007, although there were instances in which the fish organochlorine contents exhibited fluctuations through time. The second part of our analysis focused on the development of a Bayesian framework to update fish consumption advisories. We present a methodology that incorporates the uncertainty in contaminant predictions and the natural variability in fish length and lipid content, while remaining flexible for different human weights and diet patterns. We then illustrate our Bayesian framework for two important contaminants in the Great Lakes region, mercury and PCBs. We established thresholds for each contaminant based on the tolerable daily intake (TDI) values and made predictive statements about the probability of exceedance of these critical levels. Our study also discusses how failure to account for model uncertainty/error can have profound implications for the credibility of the predictive risk assessment statements derived. The proposed Bayesian approach to fish consumption advisories can serve as a valuable framework for year-specific, highly customizable risk assessment statements that also account for the inherent variability in natural systems.     

Omega-6 and omega-3 fatty acids metabolism pathways in the body of pigs fed diets with different sources of fatty acids

This study was carried out on 24 gilts (♀ Polish Large White × ♂ Danish Landrace) grown with body weight (BW) of 60 to 105 kg. The pigs were fed diets designed on the basis of a standard diet (appropriate for age and BW of pigs) where a part of the energy content was replaced by different fat supplements: linseed oil in Diet L, rapeseed oil in Diet R and fish oil in Diet F (6 gilts per dietary treatment). The fat supplements were sources of specific fatty acids (FA): in Diet L α-linolenic acid (C18:3 n?3, ALA); in Diet R linoleic acid (C18:2 n?6, LA) and in Diet F eicosapentaenoic acid (C20:5 n?3, EPA), docosapentaenoic acid (C22:5 n?3, DPA) and docosahexaenoic acid (C22:6 n?3, DHA). The protein, fat and total FA contents in the body did not differ among groups of pigs. The enhanced total intake of LA and ALA by pigs caused an increased deposition of these FA in the body (p < 0.01) and an increased potential body pool of these acids for further metabolism/conversions. The conversion efficiency of LA and ALA from the feed to the pig’s body differed among groups (p < 0.01) and ranged from 64.4% to 67.2% and from 69.4% to 81.7%, respectively. In Groups L and R, the level of de novo synthesis of long-chain polyunsaturated FA was higher than in Group F. From the results, it can be concluded that the efficiency of deposition is greater for omega-3 FA than for omega-6 FA and depends on their dietary amount. The level of LA and ALA intake influences not only their deposition in the body but also the end products of the omega-3 and omega-6 pathways.     

Selenium and Mercury in Native and Introduced Fish Species of Patagonian Lakes,Argentina

A survey of mercury (Hg) and selenium (Se) contents was performed in fish collected from lakes located in two National Parks of the northern patagonian Andean range. Two native species, catfish (Diplomystes viedmensis) and creole perch (Percichthys trucha), and three introduced species, brown trout (Salmo trutta), rainbow trout (Oncorhynchus mykiss), and brook trout (Salvelinus fontinalis), were caught from lakes Nahuel Huapi, Moreno, Traful, Espejo Chico, and Guillelmo belonging to Nahuel Huapi National Park and from lakes Futalaufquen and Rivadavia, Los Alerces National Park. In lake Moreno, fish diet items were analyzed and rainbow trout grown in a farm. Hg and Se were measured in muscle and liver tissues by instrumental neutron activation analysis. The average concentrations in muscle of Hg for all species, ages, and lakes are between 0.4 to 1.0 μg g⁻¹ dry weight (DW) with a few fish, mainly native, exceeding the United States Environmental Protection Agency health advisory for freshwater fish limited consumption, and from 0.8 to 1.5 μg g⁻¹ DW for Se. Average concentrations in liver of Hg in all species range from 0.4 to 0.9 μg g⁻¹ DW. Brown trout, the top predator in these lakes, showed the lowest average Hg burden in both tissues. Se concentrations in the liver of brown and rainbow trout, up to 279 μg g⁻¹ DW, are higher than those expected for nearly pristine lakes, exceeding 20 μg g⁻¹ DW, the threshold concentration associated with Se toxicity. These species show lower Hg contents in muscle, suggesting a possible detoxification of Hg by a Se-rich diet. Creole perch and velvet catfish livers have lower Se concentrations, with a narrower span of values (2.3 to 8.5 μg g⁻¹ and 3.3 to 5.5 μg g⁻¹ DW respectively).     

Assessment of potentially toxic heavy metals and health risk in water,sediments, and different fish species of River Kabul,Pakistan

Contamination of freshwater bodies and consequently freshwater fish with toxic heavy metals is a serious environmental issue. The trophic transfer of potentially toxic heavy metals in the human food chains, especially in fish has important implications for human health. The present research study was designed to assess the concentrations of the heavy metals Cr, Ni, Cd, and Pb in the water, sediments, and different freshwater fish species of River Kabul, Pakistan. The heavy metals were quantified in the samples with Atomic Absorption Spectrophotometer. Heavy metal contamination in fish muscles was characterized in terms of metal pollution index and biota-sediments accumulation factor, while human health risk was assessed through calculation of estimated weekly intake. The average concentrations of Cr, Ni, Cd, and Pb in muscle samples of the analyzed fish species at different sampling sites of the river ranged from 12.3 to 33.0, 33.2 to 109.2, 0.98 to 1.5, and 13.9 to 29.6 mg kg^?1 wet weight, respectively. Based on the current study data, consumption of the analyzed freshwater fish species from River Kabul was generally safe in terms of potential risk from Cd and Pb but the observed Ni accumulation may pose a potential health risk to regular/excessive fish consumers.     

Omega-3 fatty acid supplementation decreases matrix metalloproteinase-9 production in relapsing-remitting multiple sclerosis,

ObjectivesThe primary objective was to evaluate the effect of omega-3 fatty acids (omega-3 FA) on matrix metalloproteinase-9 (MMP-9) production by immune cells in multiple sclerosis (MS). Quality of life, fatty acid levels, and safety were also evaluated.Materials and MethodsTen participants with relapsing-remitting MS (RRMS) received omega-3 FA supplementation (9.6 g/day fish oil) in an open-label study. Participants were evaluated at four time points, baseline, after 1 month of omega-3 FA supplementation, after 3 months of omega-3 FA supplementation, and after a 3-month wash out.ResultsImmune cell secretion of MMP-9 decreased by 58% after 3 months of omega-3 FA supplementation when compared with baseline levels (p<0.01). This effect was coupled with a significant increase in omega-3 FA levels in red blood cell membranes.ConclusionsOmega-3 FA significantly decreased MMP-9 levels in RRMS and may act as an immune-modulator that has potential therapeutic benefit in MS patients.     

Concentrations of Lead,Cadmium, and Mercury in Halfbeaks (Hyporhampus affinis) from the East Java Coast,Indonesia and Human Health Hazard

The objectives of this study were to measure the levels of lead, cadmium, and mercury in the muscle tissues of halfbeaks (Hyporhampus affinis) captured at five stations along the East Java coast, Indonesia. This fish is one of the important species and consumed by local people as a cheap source of protein. We evaluated the hazard level posed by the metals in relation to the maximum residual limit for human consumption and to estimate the weekly intake and compare it with the provisional tolerable weekly intake (PTWI). The Pb, Cd, and Hg concentrations in fish at all stations ranged from 0.006 to 0.023 mg/kg, 0.007 to 0.024 mg/kg, and 0.047 to 0.055 mg/kg wet weight, respectively. All samples of halfbeaks collected from this area appear to be safe for human consumption because their metals’ levels are below the permissible limit for human consumption and the maximum weekly intakes are below the recommended values of PTWI.     

Mercury in waterfowl from a contaminated river in Virginia

Many bodies of water around the world are contaminated with mercury from historic industrial and mining activities or ongoing atmospheric deposition, resulting in numerous fish consumption advisories. However, concerns about mercury have only rarely led to consumption advisories on waterfowl. In contrast with fish, waterfowl frequently disperse long distances to new watersheds, so hunters and wildlife managers do not know whether waterfowl at a pristine site have spent time at a contaminated site elsewhere. We sampled tissue mercury concentrations of mallards (Anas platyrhynchos), wood ducks (Aix sponsa), and Canada geese (Branta canadensis) at a site contaminated with mercury, during the breeding and hunting seasons. We found that many mallards had bioaccumulated mercury to levels that had the potential to produce reproductive effects and exceeded consumption advisories set for fish by regulatory agencies, whereas this was true for only a few wood ducks and Canada geese. We also documented that mercury-exposed waterfowl from this contaminated site were harvested by hunters as far as 1,054 km away. Our results suggest the need for more proactive sampling of waterfowl for mercury, and likely other bioaccumulating contaminants, in order to allow hunters to make more informed choices about consumption of their harvest. © 2012 The Wildlife Society.     

Evaluation of blood mercury and serum selenium levels in the pregnant population of the Community of Madrid,Spain

BackgroundThe main exposure route to methylmercury (MeHg) is from eating fish and shellfish containing this compound. Since 2004, women of childbearing age in Spain have been urged not to eat some species (eg, tuna, shark, and swordfish), instead choosing low-MeHg seafood as part of a healthy diet.ObjectiveTo describe maternal total blood mercury (THg) and serum selenium (Se) in a cohort of pregnant women living in Spain as it relates to fish intake during the three trimesters and to assess whether or not Spanish women of childbearing age follow the recommendations listed in fish advisories and choose fish species with lower mercury levels.MethodsWe studied 141 female volunteers of childbearing age (16–45 years), interviewing all participants about their overall eating habits and seafood intake. Hg and Se levels were tested using cold-vapor atomic absorption spectrometry (CVAAS) and electrothermal atomic absorption spectrometry (ETAAS), respectively.ResultsAverage THg levels in pregnant women were 2.89 μg/L (standard deviation [SD], 2.75 μg/L, geometric mean [GM], 2.19 μg/L), and THg GM was positively associated with fish intake. Mean Se levels in pregnant women were 73.06 μg/L (SD, 13.38 μg/L), and Se levels were found to increase with tuna intake. In 16 (12%) pregnant women, THg was higher than the level recommended by the U.S. Environmental Protection Agency (EPA) (6.4 μg/L). A positive association was also found between THg and serum Se.ConclusionWomen of childbearing age in Spain had higher THg levels than women in other Western studies. Our study observed that 12% of women had THg levels above the safety limit set by the EPA (6.4 μg/L), and 31% had levels above the relevant benchmark level of 3.5 μg/L suggested by various researchers.